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Principal Investigator: Erica L Eliason
Organization: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
Fiscal Year: 2024
Award: $248,988
Funding agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development
PROJECT SUMMARY/ABSTRACT
Career Goal: My long-time career goal is to become an independent investigator studying the effects of health
care policies on access and use of maternal and infant health care services among low-income populations.
With additional skills in claims data, subject matter expertise, and causal inference methods, I plan to build a
career focused on generating evidence to improve maternal and child health outcomes and reduce disparities
in the United States. Career Development: I will pursue the following training aims during the mentored (K99)
phase of the award: (1) clinical maternal and infant health content expertise; (2) claims data analysis skills; (3)
advanced causal methods, and; (4) professional development. Research Project: Extending postpartum
Medicaid has the potential to address poor maternal health in the United States, with additional implications for
infant care use and health.1 Approximately 63% of maternal deaths in the U.S. occur postpartum, and more
than half are considered to be preventable.2 However, despite high postpartum healthcare needs, pregnancy-
related Medicaid ends after 60 days postpartum. Medicaid pays for almost half of all births in the US and
disproportionately covers births to the low-income population and people of color.3–5 There has recently been
increased interest in postpartum Medicaid, including an American Rescue Plan (ARP) option to extend
Medicaid one-year postpartum.6 Prior to this, the March 2020 Families First Coronavirus Response Act
(FFCRA) prevented Medicaid disenrollment during the pandemic, thereby extending postpartum Medicaid
eligibility, which can inform current postpartum Medicaid policies under consideration. Using the Rhode Island
All-Payer claims data, this proposal's Specific Aims are: K99/1) To evaluate the effects of the FFCRA on
coverage and maternal and infant care in the postpartum period, R00/2) To evaluate the heterogeneous effects
of the FFCRA on outcomes by race and ethnicity, R00/3) To evaluate how the COVID-19 pandemic affected
the effects of extended postpartum Medicaid eligibility on care use. Mentorship: I have assembled a highly
accomplished team of experts at Brown University to provide mentorship and guidance as I transition to
research independence, comprised of Dr. Trivedi, Professor in the Department of Health Services, Policy and
Practice and Department of Medicine; Dr. Steenland, Research Assistant Professor of Population Studies in
the Population Studies and Training Center; Dr. Vivier, Professor of Health Services, Policy and Practice and
Professor of Pediatrics and Emergency Medicine; Dr. Wilson, Professor and Chair of the Department of Health
Services, Policy and Practice, and Professor of Medicine; Dr. Savitz, Professor of Epidemiology and Professor
of Obstetrics and Gynecology and Pediatrics; and Dr. Tuuli, Chace-Joukowsky Professor and Chair of
Obstetrics & Gynecology. Future Directions: The training and research in this proposal will provide me with a
unique set of expertise and skills to prepare me to reach research independence and submit an R01
application to examine the effects of state variation in postpartum Medicaid policies using claims data.
Terms: <Access to Care><Address><Affect><American><Award><Birth><Black Populations><Black group><Black individual><Black people><Blacks><COVID crisis><COVID epidemic><COVID pandemic><COVID-19><COVID-19 associated death><COVID-19 associated fatality><COVID-19 associated mortality><COVID-19 crisis><COVID-19 death><COVID-19 epidemic><COVID-19 era><COVID-19 fatality><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 induced death><COVID-19 induced fatality><COVID-19 induced mortality><COVID-19 mortality><COVID-19 pandemic><COVID-19 pandemic affected><COVID-19 pandemic consequence><COVID-19 pandemic effects><COVID-19 pandemic impact><COVID-19 pandemic impacted><COVID-19 period><COVID-19 public health crisis><COVID-19 related death><COVID-19 related fatality><COVID-19 related mortality><COVID-19 years><COVID19 associated death><COVID19 associated fatality><COVID19 associated mortality><COVID19 death><COVID19 fatality><COVID19 induced death><COVID19 induced fatality><COVID19 induced mortality><COVID19 mortality><COVID19 related death><COVID19 related fatality><COVID19 related mortality><CV-19><Caring><Childbirth><Clinical><Contraception><Contraceptive methods><Coronaviridae><Coronavirus><Coronavirus Infectious Disease 2019><Data><Data Analyses><Data Analysis><Data Bases><Databases><Decrease disparity><Department chair><Developed Countries><Development><Discipline of obstetrics><Disparities><Disparity><Economic Income><Economical Income><Eligibility><Eligibility Determination><Emergency Medicine><Epidemiology><Ethnic Origin><Ethnicity><Family><Fertility Control><Freezing><Future><Gestation><Goals><Gynecology><Health><Health Insurance><Health Policy><Health Services><Health Services Accessibility><Healthcare><Healthcare promotion><Hispanic Populations><Hispanic group><Hispanic individual><Hispanic people><Hispanics><Income><Individual><Industrialized Countries><Industrialized Nations><Infant><Infant Care><Infant Health><Inhibition of Fertilization><Insurance><Investigators><Link><Low Income Population><Low income><Low income group><Lower disparity><Maternal Health><Maternal Health Services><Maternal Mortality><Maternal and Child Health><Measures><Medicaid><Medicaid eligibility><Medicine><Mentors><Mentorship><Methods><NICHD><National Institute of Child Health and Human Development><National Institute of Children's Health and Human Development><Obstetrics><Outcome><Parturition><Pediatrics><Persons><Phase><Policies><Population Study><Post-Natal Depression><Post-Partum Depression><Postnatal Depression><Postpartum Depression><Postpartum Period><Pregnancy><Pregnancy loss><Protocol Screening><Qualifying><R-Series Research Projects><R01 Mechanism><R01 Program><Race><Races><Research><Research Assistant><Research Grants><Research Personnel><Research Priority><Research Project Grants><Research Projects><Researchers><Rhode Island><Risk><SARS-CoV-2 associated death><SARS-CoV-2 associated fatality><SARS-CoV-2 associated mortality><SARS-CoV-2 death><SARS-CoV-2 epidemic><SARS-CoV-2 fatality><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 induced death><SARS-CoV-2 induced fatality><SARS-CoV-2 induced mortality><SARS-CoV-2 mortality><SARS-CoV-2 pandemic><SARS-CoV-2 related death><SARS-CoV-2 related fatality><SARS-CoV-2 related mortality><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Severities><Techniques><Testing><Time><Training><United States><Universities><Variant><Variation><access to health care><access to health services><access to healthcare><access to services><access to treatment><accessibility of health care><accessibility to health care><accessibility to health services><accessibility to healthcare><availability of services><baby care><care access><career><career development><child birth><corona virus><coronavirus disease 2019><coronavirus disease 2019 associated death><coronavirus disease 2019 associated fatality><coronavirus disease 2019 associated mortality><coronavirus disease 2019 crisis><coronavirus disease 2019 death><coronavirus disease 2019 epidemic><coronavirus disease 2019 fatality><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 induced death><coronavirus disease 2019 induced fatality><coronavirus disease 2019 induced mortality><coronavirus disease 2019 mortality><coronavirus disease 2019 pandemic><coronavirus disease 2019 pandemic consequence><coronavirus disease 2019 pandemic impact><coronavirus disease 2019 public health crisis><coronavirus disease 2019 related death><coronavirus disease 2019 related fatality><coronavirus disease 2019 related mortality><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19><coronavirus disease-19 global pandemic><coronavirus disease-19 mortality><coronavirus disease-19 pandemic><coronavirus infectious disease-19><data base><data interpretation><death due to COVID-19><death due to COVID19><death due to SARS-CoV-2><death due to coronavirus disease 2019><death due to severe acute respiratory syndrome coronavirus 2><death in COVID><death in COVID-19><death in SARS-CoV-2><death in coronavirus disease><death in coronavirus disease 2019><death in severe acute respiratory syndrome coronavirus 2><demographics><developed country><developed nation><developed nations><developmental><disparities in race><disparity due to race><disparity in care><disparity in ethnic><disparity in health><disparity in healthcare><disparity reduction><effects following the COVID-19 pandemic><epidemiologic><epidemiological><ethnic based disparity><ethnic disadvantage><ethnic disparity><ethnic inequality><ethnic inequity><ethnicity disparity><experience><fatality due to COVID-19><fatality due to COVID19><fatality due to SARS-CoV-2><fatality due to coronavirus disease 2019><fatality due to severe acute respiratory syndrome coronavirus 2><federal poverty level><group of color><health care><health care access><health care availability><health care disparity><health care for mothers><health care inequality><health care inequity><health care policy><health care service><health care service access><health care service availability><health disparity><health insurance plan><health outcome disparity><health outcome inequality><health outcome inequity><health service access><health services availability><healthcare access><healthcare accessibility><healthcare availability><healthcare disparity><healthcare for mothers><healthcare inequality><healthcare inequity><healthcare policy><healthcare service><healthcare service access><healthcare service availability><impact of the SARS-CoV-2 pandemic><improved><incomes><individual of color><inequality due to race><inequitable health outcome><inequity due to race><infant health care><infant healthcare><infant outcome><interest><low income individual><low income people><maternal death><maternal health care><maternal healthcare><maternal morbidity><mitigate disparity><mortality due to COVID-19><mortality due to COVID19><mortality due to SARS-CoV-2><mortality due to coronavirus disease 2019><mortality due to severe acute respiratory syndrome coronavirus 2><mother health care><mother healthcare><newborn care><pandemic><pandemic disease><people of color><person of color><poor health outcome><population of color><population-based study><population-level study><post-partum><post-partum care><post-partum health><postpartum care><postpartum health><prevent><preventing><professor><public health emergency><race based disparity><race based inequality><race based inequity><race disparity><race related disparity><race related inequality><race related inequity><racial><racial background><racial disparity><racial inequality><racial inequity><racial origin><racially unequal><reduce disparity><reduced health outcome><reduction in disparity><response><service availability><severe acute respiratory syndrome coronavirus 2 associated death><severe acute respiratory syndrome coronavirus 2 associated fatality><severe acute respiratory syndrome coronavirus 2 associated mortality><severe acute respiratory syndrome coronavirus 2 death><severe acute respiratory syndrome coronavirus 2 fatality><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><severe acute respiratory syndrome coronavirus 2 induced death><severe acute respiratory syndrome coronavirus 2 induced fatality><severe acute respiratory syndrome coronavirus 2 induced mortality><severe acute respiratory syndrome coronavirus 2 mortality><severe acute respiratory syndrome coronavirus 2 related death><severe acute respiratory syndrome coronavirus 2 related fatality><severe acute respiratory syndrome coronavirus 2 related mortality><skills><studies of populations><study of the population><treatment access><treatment effect><unequal health outcome><worse health outcome>